@article{ref1,
title="Development of the Burn Frailty Index: a prognostication index for elderly patients sustaining burn injuries",
journal="American journal of surgery",
year="2019",
author="Maxwell, Daniel and Rhee, Peter and Drake, Mack and Hodge, Juvonda and Ingram, Walter and Williams, Rachael",
volume="218",
number="1",
pages="87-94",
abstract="BACKGROUND: Frailty has demonstrated enhanced prognostic ability for elderly patient morbidity. The aim was to create a burn-specific frailty index for elderly patients and compare it to commonly used scoring systems in burn management. <br><br>METHODS: From 2013 to 2017, we prospectively surveyed a randomized cohort of patients ≥65-years-old previously admitted to our burn unit. Prognostic comparisons with 6 commonly used indices and multivariate risk analyses were performed. <br><br>RESULTS: Of 100 included patients, n = 32 were classified as frail. The mean patient age was 73.0 ± 6.8-years with a median follow up of 20.9 months. There were 13 moralities in total, 12 occurred in the frail group including 5 in-house mortalities. Patients classified as frail had significantly more complications (p < 0.001), non-home discharges (p < 0.001), ICU admissions, and longer hospital and ICU lengths of stay (p < 0.001), decreased 1 and 3-year survival (p = 0.001). The BFI was identified as an independent predictor of mortality (p = 0.001) and course-altering diagnoses including sepsis/septic shock, ARDS/ALI, and AKI. <br><br>CONCLUSIONS: The Burn Frailty Index accurately predicts morbidity and mortality in elderly frail patients suffering burn injuries.<br><br>Copyright © 2018 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0002-9610",
doi="10.1016/j.amjsurg.2018.11.012",
url="http://dx.doi.org/10.1016/j.amjsurg.2018.11.012"
}